Individual
JACQUELINE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLINICAL DIETICIAN
Contact information
Practice address
819 N 1ST ST, DENNISON, OH 44621-1003
(740) 922-2800
(740) 922-6945
Mailing address
541 DONALD DR SW, NEW PHILADELPHIA, OH 44663-7203
(330) 339-3234
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.3217
OH
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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